Liquid antiadhesive product (Adcon-p) prevents post-operative adhesions within the intra-abdominal organs in a rat model

Mustafa Oncel, Feza H. Remzi, Anthony J. Senagore, Jason T. Connor, Victor W. Fazio

    Research output: Contribution to journalArticle

    12 Scopus citations

    Abstract

    Background and aims: Postoperative adhesions mostly cleave to small bowel and lead to troublesome problems. This study evaluated the effectiveness of a novel liquid antiadhesive product (Adcon-P) in rats. Subjects and methods: Thirty-eight Sprague Dawley rats underwent laparotomy during which the surgeon created abrasions on five different small bowel locations and the cecum in order to generate adhesions. Rats were randomly assigned to receive Adcon-P (n=19) or to a control group (n=19). The animals were killed on postoperative day 21. An observer blinded to the randomization assessed the difficulty of adhesiolysis with a six-point scoring system, recorded locations of adhesions and, noted the presence of serosal and full-thickness injuries. The total number of adhesions was also chronicled. Results: The severity of adhesion and adhesion scores were significantly lower in animals receiving Adcon-P. More animals suffered full-thickness and serosal injuries in the control group. The adhesions between small bowel segments and the number of adhesions attached to the small bowel were significantly lower in animals that received Adcon-P. Conclusion: Adcon-P leads to an easier adhesiolysis and lessens the risk of bowel injury during relaparotomy. In particular, Adcon-P reduces the probability that adhesions specifically attach to the small bowel.

    Original languageEnglish (US)
    Pages (from-to)514-517
    Number of pages4
    JournalInternational Journal of Colorectal Disease
    Volume18
    Issue number6
    DOIs
    StatePublished - Nov 2003

    Keywords

    • Adcon-P
    • Adhesiolysis
    • Adhesion prevention
    • Bowel injury
    • Postoperative intra-abdominal adhesion

    ASJC Scopus subject areas

    • Gastroenterology

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